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Contact Information

SOUTHWEST HEMATOLOGY-ONCOLOGY ASSOCIATES PA
4002 21ST ST
STE B
LUBBOCK, TX79410-1135
 Phone: 806-793-8310
 Fax: 806-793-7871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHWEST HEMATOLOGY-ONCOLOGY ASSOCIATES PA

NPI # 1073524666
LBN Legal business name SOUTHWEST HEMATOLOGY-ONCOLOGY ASSOCIATES PA
Authorized official BRANCE WILSON - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 07/28/2015 - About 11 years ago
Identifiers
TX License # 15666
TX Medicaid 0081556501
Other 2093517 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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